NPI 1053564658

Optical Shop of Kalispell

Organisation Eyewear Supplier Kalispell, MT

Practice location

Address: 35 Main St STE B, Kalispell, MT 59901-4448
Phone: (406) 755-9001

Authorised official

Name: Michael S Matola
Title: Owner
Phone: (406) 755-9001

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence C187758-906105 (MT)

Other Eyewear Supplier providers in Montana →

Registry record

NPI: 1053564658
Entity type: Organization
NPI issued: 28 Oct 2008
Record last updated: 28 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.